Organization
R. E. MARTIN, JR., DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R E MARTIN JR. DDS (OWNER)
(336) 889-4733
Entity
Organization
Contact information
Practice address
1007 PHILLIPS AVE STE 103, HIGH POINT, NC 27262-7068
(335) 889-4733
Mailing address
1007 PHILLIPS AVE STE 103, HIGH POINT, NC 27262-7068
(335) 889-4733
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4512
NC
Other
Enumeration date
06/25/2007
Last updated
04/05/2017
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